Spontaneous Intracranial and Spinal Subdural Hematoma: A Case Report / 대한신경손상학회지
Korean Journal of Neurotrauma
;
: 182-186, 2019.
Article
in English
| WPRIM
| ID: wpr-759991
ABSTRACT
Spinal subdural hematoma (SDH) is rarely reported, and their simultaneous occurrence with intracranial SDH is even more rare. A 67-year-old male patient with a history of posterolateral fusion to treat an L2 burst fracture came to our outpatient clinic due to an inability to walk by himself over the previous 3 weeks. A neurological examination revealed that the patient was alert with occasional confusion and slight motor weakness in the lower extremities. Brain and lumbar spine magnetic resonance imaging (MRI) was then performed. A brain MRI revealed a large subacute SDH along the right cerebral convexity and falx cerebri with midline shifting, and a spine MRI revealed a right side-predominant subacute SDH extending from L4 to S1. For treatment, burr hole trephination of the intracranial SDH and fluoroscopy-guided lumbar puncture of the spinal SDH were performed and resulted in a favorable outcome. This is a report of a rare case of spontaneous intracranial and lumbar spine SDH. We include a review of the current literature and a discussion of the pathogenesis of this condition in this report.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Cord
/
Spinal Puncture
/
Spine
/
Trephining
/
Brain
/
Magnetic Resonance Imaging
/
Lower Extremity
/
Hematoma, Subdural, Spinal
/
Ambulatory Care Facilities
/
Hematoma, Subdural
Type of study:
Qualitative research
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Neurotrauma
Year:
2019
Type:
Article
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